I suspect he does get something out of it. Whether this is healthy or not is another question.
(I was married for many years to a man who needed his partner to have problems in order for him to feel better----he glimpsed this from time to time, and then forgot---I didn't understand, or take this in for years because it made no sense to me....he didn't "seem" like someone who would want/need this at all.
We used to blame me for many things he didn't get done. Well, years on, he never did those things after we parted...